Percent of long-stay residents who received an antipsychotic medication

Here:

9.4%

Illinois:

24.2%

Complaint Deficiency

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for

Harm: Potential for minimal harm

Scope: Some

Send and promptly deliver unopened mail to residents

Harm: Potential for minimal harm

Scope: Many

A two-hour-resistant firewall in common walls

Harm: Minimal harm or potential for actual harm

Scope: Many

Corridor and hallway doors that block smoke

Harm: Minimal harm or potential for actual harm

Scope: Many

Construction that can resist fire for one hour or an approved fire extinguishing system

Harm: Minimal harm or potential for actual harm

Scope: Many

Exits that are accessible at all times

Harm: Minimal harm or potential for actual harm

Scope: Many

Automatic sprinkler systems that have been maintained in working order

Harm: Minimal harm or potential for actual harm

Scope: Many

Weekly inspections and monthly testing of generators

Harm: Minimal harm or potential for actual harm

Scope: Many

Properly installed electrical wiring and equipment

Harm: Minimal harm or potential for actual harm

Scope: Many

Allow residents to easily view the results of the nursing home's most recent survey

Harm: Potential for minimal harm

Scope: Many

Check and assess each resident's assessment at least every 3 months

Harm: Minimal harm or potential for actual harm

Scope: Few

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured

Harm: Minimal harm or potential for actual harm

Scope: Few

Provide care by qualified persons according to each resident's written plan of care

Harm: Minimal harm or potential for actual harm

Scope: Few

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function

Harm: Minimal harm or potential for actual harm

Scope: Few

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents

Harm: Minimal harm or potential for actual harm

Scope: Few

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day

Harm: Potential for minimal harm

Scope: Many

Make sure that doctors visit residents regularly, as required

Harm: Minimal harm or potential for actual harm

Scope: Few

Have a program that investigates, controls and keeps infection from spreading

Harm: Minimal harm or potential for actual harm

Scope: Many

A two-hour-resistant firewall in common walls

Harm: Minimal harm or potential for actual harm

Scope: Some

Corridor and hallway doors that block smoke

Harm: Minimal harm or potential for actual harm

Scope: Some

Exits that are accessible at all times

Harm: Minimal harm or potential for actual harm

Scope: Some

Record of quarterly fire drills for each shift under varying conditions

Harm: Minimal harm or potential for actual harm

Scope: Many

Restrictions on the use of highly flammable materials

Harm: Minimal harm or potential for actual harm

Scope: Some

Properly installed electrical wiring and equipment

Harm: Minimal harm or potential for actual harm

Scope: Some

Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property

Harm: Potential for minimal harm

Scope: Many

Process of Care

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

This Hospital:

100.0%

State:

99.0%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

Here:

93.0%

Illinois:

96.2%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:

97.0%

State:

97.5%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:

89.0%

Illinois:

93.1%

Percent of Patients Assessed and Given Influenza Vaccination

This Hospital:

85.0%

Illinois:

94.4%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Hospital:

95.0%

Illinois:

95.5%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

This Hospital:

95.0%

Illinois:

98.2%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

This Hospital:

95.0%

State:

97.1%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:

100.0%

Illinois:

98.4%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot